| NPI | 1063989911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10010563) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2024-11-01 |